Park Pharmacy SCS LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011114 Issued in MI

Legal business name

PARK PHARMACY SCS LLC

Doing business as

Park Pharmacy SCS

Practice address

20225 E 9 Mile Rd Ste 120a
Saint Clair Shores, MI 48080

Phone

(586) 447-5189

Fax

(586) 774-7187

NPI assigned

Apr 5, 2017

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nassar BeydounNPI 1811462849

Title

Owner

Phone

(313) 999-8560

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• PARK PHARMACY SCS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nassar Beydoun

  • Pharmacist
  • Saint Clair Shores, MI
  • NPI 1811462849
  NPD (past) Authorized official
• Ghada Abdallah, RPH

  • Pharmacist
  • Grosse Pointe Park, MI
  • NPI 1740414903
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1609309913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD STE 120A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801700",
            "telephone_number": "586-447-5189",
            "fax_number": "586-774-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD STE 120A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080",
            "telephone_number": "586-447-5189",
            "fax_number": "586-774-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHARMACY SCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "NASSAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-999-8560"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011114",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK PHARMACY SCS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARK PHARMACY SCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Pappas, L.M.S.W.
• Cynthia E. Paquette, D.D.S., P.C.
• Priyanka Chandramohan Parab
• Jeffrey Hubbard Parcells, M.D.
• Francis J Parfitt, DDS
• Julie Parker, ATC-L
• Jennifer A Parnell, LPC
• Leanna R Parrent
• Amber Nicole Parrish, LLPC
• Elizabeth Therese Parus, CRNA

• Community/Retail Pharmacy in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.